Clinical phenotypes and associated factors in knee osteoarthritis in an African black population

Objective: Our objective was to study the clinical phenotypes of knee osteoarthritis in rheumatology in a black sub-Saharan African population. Methods: This study took place from October 1, 2022, to September 30, 2023, in the rheumatology department. It involved adult patients with knee osteoarthri...

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Main Authors: Charles Sougué, Malick Diallo, Yannick Laurent Tchenadoyo Bayala, Ismaël Ayouba Tinni, Fulgence Kaboré, Wendlassida Joelle Stéphanie Zabsonré Tiendrebeogo, Patrick Wendpouiré Hamed Dakouré, Dieu-Donné Ouedraogo
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Osteoarthritis and Cartilage Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2665913125000068
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author Charles Sougué
Malick Diallo
Yannick Laurent Tchenadoyo Bayala
Ismaël Ayouba Tinni
Fulgence Kaboré
Wendlassida Joelle Stéphanie Zabsonré Tiendrebeogo
Patrick Wendpouiré Hamed Dakouré
Dieu-Donné Ouedraogo
author_facet Charles Sougué
Malick Diallo
Yannick Laurent Tchenadoyo Bayala
Ismaël Ayouba Tinni
Fulgence Kaboré
Wendlassida Joelle Stéphanie Zabsonré Tiendrebeogo
Patrick Wendpouiré Hamed Dakouré
Dieu-Donné Ouedraogo
author_sort Charles Sougué
collection DOAJ
description Objective: Our objective was to study the clinical phenotypes of knee osteoarthritis in rheumatology in a black sub-Saharan African population. Methods: This study took place from October 1, 2022, to September 30, 2023, in the rheumatology department. It involved adult patients with knee osteoarthritis. The researchers used K-means clustering analysis to identify different phenotypes and logistic regression to determine associated factors. Results: A total of 321 patients were included in the study. The mean age was 58.7 years (ranging from 21 to 92 years), with a sex ratio of 0.23 (M/F). The study identified five clinical phenotypes through clustering: 152 patients (47.3 ​%) exhibited the “osteoporotic” phenotype, 113 patients (35.2 ​%) exhibited the “metabolic” phenotype, 17 patients (5.3 ​%) exhibited the “genetic” phenotype, 24 patients (7.4 ​%) exhibited the “biomechanical” phenotype, and 15 patients (4.6 ​%) exhibited the “post-traumatic” phenotype. The “osteoporotic” phenotype was significantly more frequent in patients aged 60 years or older (OR ​= ​1.13 [1.10; 1.16], p ​< ​0.0001) and in women (OR ​= ​2.44 [1.20; 4.94], p ​< ​0.0001). On the other hand, the “post-traumatic” phenotype was significantly more frequent in patients younger than 60 years (OR ​= ​1.93 [1.91; 1.96], p ​< ​0.0001) and in those with tibiofemoral osteoarthritis (OR ​= ​0.44 [0.21; 0.94], p ​= ​0.034). Conclusion: The osteoporotic and metabolic phenotypes were the most frequently observed. The osteoporotic phenotype was more common in women and patients over 60 years while the post-traumatic phenotype was more prevalent in tibiofemoral osteoarthritis under 60 years.
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series Osteoarthritis and Cartilage Open
spelling doaj-art-7a4fa6c9f6a847258d38558302ec14af2025-02-05T04:32:39ZengElsevierOsteoarthritis and Cartilage Open2665-91312025-03-0171100570Clinical phenotypes and associated factors in knee osteoarthritis in an African black populationCharles Sougué0Malick Diallo1Yannick Laurent Tchenadoyo Bayala2Ismaël Ayouba Tinni3Fulgence Kaboré4Wendlassida Joelle Stéphanie Zabsonré Tiendrebeogo5Patrick Wendpouiré Hamed Dakouré6Dieu-Donné Ouedraogo7Department of Internal Medicine, Sourou Sanou University Hospital, Bobo-Dioulasso, Burkina FasoDepartment of Orthopedics and Traumatology, Sourou Sanou University Hospital, Bobo-Dioulasso, Burkina FasoDepartment of Rheumatology, Bogodogo University Hospital, Ouagadougou, Burkina Faso; Corresponding author.Department of Rheumatology, Bogodogo University Hospital, Ouagadougou, Burkina FasoDepartment of Rheumatology, Bogodogo University Hospital, Ouagadougou, Burkina FasoDepartment of Rheumatology, Bogodogo University Hospital, Ouagadougou, Burkina FasoDepartment of Orthopedics and Traumatology, Sourou Sanou University Hospital, Bobo-Dioulasso, Burkina FasoDepartment of Rheumatology, Bogodogo University Hospital, Ouagadougou, Burkina FasoObjective: Our objective was to study the clinical phenotypes of knee osteoarthritis in rheumatology in a black sub-Saharan African population. Methods: This study took place from October 1, 2022, to September 30, 2023, in the rheumatology department. It involved adult patients with knee osteoarthritis. The researchers used K-means clustering analysis to identify different phenotypes and logistic regression to determine associated factors. Results: A total of 321 patients were included in the study. The mean age was 58.7 years (ranging from 21 to 92 years), with a sex ratio of 0.23 (M/F). The study identified five clinical phenotypes through clustering: 152 patients (47.3 ​%) exhibited the “osteoporotic” phenotype, 113 patients (35.2 ​%) exhibited the “metabolic” phenotype, 17 patients (5.3 ​%) exhibited the “genetic” phenotype, 24 patients (7.4 ​%) exhibited the “biomechanical” phenotype, and 15 patients (4.6 ​%) exhibited the “post-traumatic” phenotype. The “osteoporotic” phenotype was significantly more frequent in patients aged 60 years or older (OR ​= ​1.13 [1.10; 1.16], p ​< ​0.0001) and in women (OR ​= ​2.44 [1.20; 4.94], p ​< ​0.0001). On the other hand, the “post-traumatic” phenotype was significantly more frequent in patients younger than 60 years (OR ​= ​1.93 [1.91; 1.96], p ​< ​0.0001) and in those with tibiofemoral osteoarthritis (OR ​= ​0.44 [0.21; 0.94], p ​= ​0.034). Conclusion: The osteoporotic and metabolic phenotypes were the most frequently observed. The osteoporotic phenotype was more common in women and patients over 60 years while the post-traumatic phenotype was more prevalent in tibiofemoral osteoarthritis under 60 years.http://www.sciencedirect.com/science/article/pii/S2665913125000068Knee osteoarthritisClinical phenotypeAfrica
spellingShingle Charles Sougué
Malick Diallo
Yannick Laurent Tchenadoyo Bayala
Ismaël Ayouba Tinni
Fulgence Kaboré
Wendlassida Joelle Stéphanie Zabsonré Tiendrebeogo
Patrick Wendpouiré Hamed Dakouré
Dieu-Donné Ouedraogo
Clinical phenotypes and associated factors in knee osteoarthritis in an African black population
Osteoarthritis and Cartilage Open
Knee osteoarthritis
Clinical phenotype
Africa
title Clinical phenotypes and associated factors in knee osteoarthritis in an African black population
title_full Clinical phenotypes and associated factors in knee osteoarthritis in an African black population
title_fullStr Clinical phenotypes and associated factors in knee osteoarthritis in an African black population
title_full_unstemmed Clinical phenotypes and associated factors in knee osteoarthritis in an African black population
title_short Clinical phenotypes and associated factors in knee osteoarthritis in an African black population
title_sort clinical phenotypes and associated factors in knee osteoarthritis in an african black population
topic Knee osteoarthritis
Clinical phenotype
Africa
url http://www.sciencedirect.com/science/article/pii/S2665913125000068
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